Seyed Amirali Shokrollahi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DB-2024-0166. Issued in NM

Practice address

10151 Montgomery Blvd NE
Albuquerque, NM 87111-3670

Phone

(505) 275-1663

NPI assigned

May 29, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1336989136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13616 APACHE PLUME PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871118036",
            "telephone_number": "818-585-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113670",
            "telephone_number": "505-275-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOKROLLAHI",
        "first_name": "SEYED AMIRALI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DB-2024-0166.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rudolph Shoats
• Sarah Anne Shoberg, PHARM.D
• Daniel Shocket, MD
• Melanie L Shockley, RPH
• Jordan Shoemaker
• Derek Shomler, MD
• Cameron Claibourne Shonnard, MD
• Heather Shoop
• Michael Shoop, MD
• Daniel Nathan Shorb, LMHC

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.